DR. MATTHEW DONALD SMITH SR. (NPI# 1609309525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609309525 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DONALD SMITH SR. |
| Credential | M.D. |
| Practice Address |
3551 Roger Brooke Dr. Mche/me Jbsa Fort Sam Houston TX 78234 |
| Mailing Address |
25 Sterling Ct Rockville MD 20850-4615 |
| Practice Telephone | 8123600272 |
| Mailing Telephone | 8123600272 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 31330 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1003433277 | Matthew P Smith | Massage Therapist | 1733 E 22nd Ave Apt 1, Denver, CO 80205-5588 | 2020-07-02 |
| 1093332017 | Matthew Craig Smith | Dentist | 7033 Stantonsburg Rd, Farmville, NC 27828-9031 | 2020-06-26 |
| 1235790221 | Matthew Smith | Physical Therapist | 185 Hickory Ln, Washington Court House, OH 43160-9406 | 2019-06-21 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1114446002 | Matthew R Smith | Counselor | 1801 E 5th St Ste 208, Charlotte, NC 28204-3400 | 2017-09-12 |
| 1518495241 | Matthew Smith | Internal Medicine | 200 Hawkins Dr Dept Intmed, Iowa City, IA 52242-1009 | 2017-05-25 |
| Street Address |
3551 ROGER BROOKE DR. MCHE/ME |
| City | JBSA FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363575 | Jonathan B Wilson | Physical Therapist | 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962903344 | Bryce L Harmon | General Practice | San Antonio Military Medical Center Radiologydepartment, 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234-4504 | 2018-02-22 |
| 1114339397 | Stephen Mcburney Hughes | General Practice | Internal Medicine Residency, Mche-zdm-m, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 | 2014-05-22 |
| 1871835983 | Michael Hawkinson | General Practice | 3551 Roger Brook Dr, San Antonio Military Medical Center, Jbsa Fort Sam Houston, TX 78234-6200 | 2013-03-27 |
| 1003318569 | Halward Blegen Iv | General Practice | 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 | 2018-03-01 |
| 1407382658 | Brittany Ashleigh Marie Hackett | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-05-10 |
| 1194259481 | Gary Craig Jarvis | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2017-04-13 |
| 1649701921 | Hannah Leigh Gale | General Practice | 3551 Roger Brooke Drive, San Antonio Military Medical Center, Pediatric Program, Jbsa Fort Sam Houston, TX 78234 | 2017-03-27 |
| 1225577539 | Stuart Davidson | General Practice | 3551 Roger Brooke Drive, San Antonio Military Medical Center Mche-zso, Ortho, Jbsa Fort Sam Houston, TX 78234-4504 | 2017-02-20 |
| 1538513478 | Christopher Michael Stringer | General Practice | 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | 2016-04-18 |
| 1710340617 | Kayla Knuf | General Practice | 3551 Roger Brooke Dr, San Antonio Military Medical Center, Jbsa Fort Sam Houston, TX 78234-4504 | 2016-03-30 |
| Find all providers in JBSA FORT SAM HOUSTON | ||||
| City | JBSA FORT SAM HOUSTON |
| Zip Code | 78234 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.